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�PERMIT APPLICATIO•N <br />B�1ILDINGIMECHANICALIPLUMBINGlSIGNlSPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org � <br />c� <br />tor new constructiort Short PlaUsuh <br />; EU�/IFTT' Hdrir�i6 <br />POPERTV TA% N <br />,os�r92 co/�ovov <br />Lot No._ (altanc �opy of long legal descnplion) <br />Phane/E�mail J G ��.s O , % � � �i <br />!/fI i'PZn/- <br />Owner _O�,vneYSAgent _CoNncfor _CoNractofsAgenl _TenaMem�sio�o�ioomm�moimmemnammoo..�+�mao.wn�n <br />�L--Ciry Bus. Lic. <br />7ENANT 6USINE55 NAME CONTACT FOR VERMI I//�N� �� <br />/� /t <br />��, "v �j" "� Phone/E-mail ��J � �J e <br />BUILDING PERMIT APPLICATION CONrRncr PRiCE oF woRK� � <br />Exisling Use ol Building .s�iC HEAT SO <br />Proposed Use of Building S/�/� � Gaz Eiectri <br />Budding rype: _ Single Famil� _ Duplex _Townhouse _ Multi•Family _ Commercial <br />Tvne ol nrnirt[P New AAditinn Y Remodel Rcoair T.I Sian Sorin ;ler Demolilion <br />RIPTION OF WORK (addilional space p�ovided on fhe backJ: <br />�epl�t.ce �r�cv <br />MECHANICAL PERMIT AP <br />Typc ol Projec�: _Nnw_Addn <br />air <br />I$U <br />�L T�� <br />/� - TE <br />�, � <br />RCE: <br />Other <br />MBI�IG PERMIT APPLICATION <br />o1ProJect: _Ne��_Atldn _Al�oralion_Repalr <br />Show A'umber (7+/ or Iirtures <br />I Toilet <br />Dishwasher <br />I�C�e�yLnNfyI�all�avOfeaOanEc�aminu4lMsappl'ioillo��.lnOMnowNO;am�l00olNoanOWrtec1 NIDIOvi•.i0�5D11dwS.lnOnN�ndnCC590vefninglhiS�ypCOlwO�kWIilOUfAmpl <br />wm wliriner ape4d .rl neruin or no1 ino pcinlin9 of a poier I Ooes not presume to 9He aulnonty lo vmlalx oi caneel ina pmvlsion ol any olnr.r slale or lotal law ro9ulaunq consUucllon <br />IDat 1 am aulfio f 6y Ihn own ol l�rs Oroprtrty lo De�ortm m� wnrk 1 r w� ippl��ilion Is maaa nne 1 comDN "^�� I�o Slab Lontncmrs Ww IB 77 PCW antl 29fi i00A VlAC. <br />7 l / � <br />OwnedAuthorized Agent Signature Uale (Revised 4R075) <br />